This paper describes an effective medical claim fraud/abuse detection system based on data mining used by a Chilean private health insurance company. Fraud and abuse in medical cla...
Workflow Management Systems (WfMS) allow organizations to streamline and automate business processes and reengineer their structure. One important requirement for this type of syst...
Due to a turbulent market enterprises should be able to adapt their business processes in a quick and flexible way. This requires adaptive process-aware information systems (PAISs)...
Stefanie Rinderle-Ma, Manfred Reichert, Barbara We...
Three CBR systems were created to improve customer support at General Electric Appliances. The first tool helped call takers answer customers’ questions by using a case base of ...
Supply chain management is a critically significant strategy that enterprises depend on in meeting the challenges of today's highly competitive and dynamic business environme...
Luis Rabelo, Magdy Helal, Chalermmon Lertpattarapo...